Individual
ILANA ANNE WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
939 W GREEN TREE RD, RIVER HILLS, WI 53217-3716
(414) 241-9361
Mailing address
939 W GREEN TREE RD, RIVER HILLS, WI 53217-3716
(414) 241-9361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
07336-1
NY
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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